Application for Board Appointment

To apply to be a member of the Renfrew Victoria Hospital Board of Directors, you must complete this form by clicking on the following link to the:  Board of Directors Application Form, where you will find instructions, eligibility criteria and conditions of appointment.    

Please submit your completed form by mail, fax, or e-mail to the following address: Renfrew Victoria
432-0711 or email to Hospital, Selection Committee, 499 Raglan Street, North, Renfrew, Ontario, K7V 1P6 or fax to 613-